Video Vignette: Laser Haemorrhoidoplasty Procedure (LHP) for grade II haemorrhoidal disease in a man complaining of only blood in stool.

2021 ◽  
Author(s):  
T.N. Garmanova ◽  
D.R. Markaryan ◽  
Y.E. Kitsenko ◽  
A.M. Lukianov ◽  
P.V. Tsarkov
Keyword(s):  
Haemorrhoidal Disease ◽  
Grade Ii ◽  
Video Vignette

Laser hemorrhoidoplasty (LHP) using a 1470 nm radial fibre laser – early efficacy assessment based on own data

Nowa Medycyna ◽  
2020 ◽  
Vol 27 (4) ◽  
Author(s):  
Sławomir Glinkowski ◽  
Daria Marcinkowska
Keyword(s):  
Hospital Stay ◽  
Opioid Analgesics ◽  
Daily Activities ◽  
Fibre Laser ◽  
Haemorrhoidal Disease ◽  
First Case ◽  
Conventional Hemorrhoidectomy ◽  
Efficacy Assessment ◽  
Grade Ii ◽  
The Mean

Introduction. Haemorrhoidal disease is one of the most common colorectal conditions. Although many treatment methods have been developed, Milligan-Morgan hemorrhoidectomy remains the most widely practised surgical technique. Aim. The aim of this study was to compare the effectiveness of Milligan-Morgan hemorrhoidectomy and laser hemorrhoidoplasty using a 1470 nm radial fibre laser. The following variables were analysed: procedure duration, length of procedure-related hospital stay, postoperative pain, and time to return to normal daily activities. Material and methods. The study group included 178 patients (women 45%, men 55%), including 82 patients undergoing laser hemorrhoidoplasty and 96 patients undergoing Milligan-Morgan hemorrhoidectomy. The mean age of the patients was 50 years, with the youngest patient aged 19 years and the oldest patient aged 65 years. The mean age of patients was lower in the laser hemorrhoidoplasty group (54.23 vs 45.15 years). The mean follow-up was 14 months (3-35 years). Results. The mean duration of laser hemorrhoidoplasty was shorter than that of Milligan-Morgan hemorrhoidectomy (13.9 vs. 22.3 min). There was no need for a revision surgery after laser hemorrhoidoplasty, whereas reoperation was necessary in three cases after classical hemorrhoidectomy. The mean and the shortest time of return to work was 14 and 5 days for laser hemorrhoidoplasty compared to 21 and 15 days for classical hemorrhoidectomy, respectively. Opioid analgesics were needed in 51% of patients after Milligan-Morgan hemorrhoidectomy and none of the patients after laser hemorrhoidoplasty. Conclusions. Laser hemorrhoidoplasty is an effective treatment approach in grade II-IV haemorrhoidal disease. It is associated with less pain compared to conventional hemorrhoidectomy. The duration of both the procedure itself and hospital stay is shorter after laser hemorrhoidoplasty compared to Milligan-Morgan hemorrhoidectomy. The return to normal daily activities is also faster in the first case.

scholarly journals TRANSANAL DOPPLER-CONTROLLED DEARTERIALIZATION WITH MUCOPEXY FOR A MINIMALLY INVASIVE TREATMENT OF HAEMORRHOIDAL DISEASE

2016 ◽  
pp. 26-31 ◽  
Author(s):  
E. A. Zagryadskiy
Keyword(s):  
Minimally Invasive ◽  
Minimally Invasive Treatment ◽  
Invasive Treatment ◽  
Artery Ligation ◽  
Haemorrhoidal Disease ◽  
Effective Form ◽  
Number Of Patients ◽  
Grade Ii ◽  
Disease Grade

Transanal Doppler-controlled, deartetialization with mucopexy - a new direction in minimally invasive treatment Haemorrhoidal disease grade II and IV. The number of patients showing relief of Haemorrhoidal symptoms at 52-month follow-up was high. Bleeding was resolved in 92.9% of the patients. The recurrence of prolapse at 52 months was low, with no re-prolapse being recorded in 89,6% of the patients. Doppler-guided Haemorrhoidal artery ligation with transanal rectal mucopexy, not only has several perioperative advantages - minimally invasive surgery, low major complications - but also offers prolonged relief for all hemorrhoidal symptoms. Technology is an effective form of treatment for hemorrhoidal disease.

scholarly journals TRANSANAL HAEMORRHOIDAL DEARTERIALIZATION WITH MUCOPEXY (THD-M) FOR TREATMENT OF HEMORRHOIDS: IS IT APPLICABLE IN ALL GRADES? BRAZILIAN MULTICENTER STUDY

2020 ◽  
Vol 33 (2) ◽  
Author(s):  
Carlos Walter SOBRADO ◽  
Sidney KLAJNER ◽  
José Américo Bacchi HORA ◽  
Anderson MELLO ◽  
Fabricio Marcondes Luciano da SILVA ◽  
...  
Keyword(s):  
Intraoperative Complications ◽  
Late Results ◽  
Anal Abscess ◽  
Faecal Impaction ◽  
Haemorrhoidal Disease ◽  
Skin Tag ◽  
Effective Option ◽  
Grade Ii ◽  
Transanal Haemorrhoidal Dearterialization

ABSTRACT Background: Transanal haemorrhoidal dearterialization with mucopexy (THD-M) is a valuable option for treating patients with haemorrhoidal disease. However, there is still controversy with regard to its efficacy for more advanced grades. Aim: To evaluate the effectiveness of THD-M technique for treating hemorrhoidal disease and to compare the immediate and late results in different grades. Method: Seven hundred and five consecutive patients with Goligher’s grade II, III or IV symptomatic haemorrhoids underwent surgical treatment using the THD-M method in five participating centres. Six well-trained and experienced surgeons operated on the patients. Average follow-up was 21 months (12-48). Results: Intraoperative complications were observed in 1.1% of cases, including four cases of haematoma, two of laceration of the mucosa, and two of bleeding. All of these were controlled by means of haemostatic suturing. In relation to postoperative complications, the most common of these were as follows: transitory tenesmus (21.4%); pain (7.2%); mucosal or haemorrhoidal prolapse (6.4%); residual skin tag (5.6%); faecal impaction (3.2%); haemorrhoidal thrombosis (2.8%); bleeding (2.1%); anal fissure (0.7%); and anal abscess (0.3%). Most of the complications were treated conservatively, and only 7.5% (53/705) required some type of surgical approach. There was no mortality or any severe complications. The recurrence of prolapse and bleeding was greater in patients with grade IV haemorrhoidal disease than in those with grade III and II (26.54% and 7.96% vs. 2.31% and 0.92% vs. 2.5% and 1.25%), respectively. Conclusion: The THD-M method is safe and effective for haemorrhoidal disease grades II and III with low rates of surgical complications. However, for grade IV hemorrhoids, it is associated with higher recurrence of prolapse and bleeding. So, THD-M method should not be considered as an effective option for the treatment of grade IV hemorrhoids.

scholarly journals Efficacy of foam sclerotherapy in treatment of grade I and grade II bleeding hemorrhoids at Nalanda Medical College and Hospital, Patna

2020 ◽  
Vol 7 (9) ◽  
pp. 2925
Author(s):  
Raj Shekhar ◽  
V. K. Gupta
Keyword(s):  
Primary Objective ◽  
Second Grade ◽  
Efficacy And Safety ◽  
Foam Sclerotherapy ◽  
Medical College ◽  
Haemorrhoidal Disease ◽  
Grade Ii ◽  
Non Surgical Treatment ◽  
Bleeding Hemorrhoids

Background: Sclerotherapy is the treatment of choice for first and second grade haemorrhoidal disease. The aim of this study is to assess the efficacy and safety of polidocanol foam for haemorrhoidal disease.Methods: A total of 50 patients were treated with foam sclerotherapy (polidocanol 3%). Patients who presented with complain of bleeding per anum and diagnosed with first and second grade hemorrhoidal disease were included. Patients without bleeding per anum were not included. The primary objective was the stopping of perianal bleeding after one sclerotherapy session. Sclerotherapy was repeated at 2-week intervals until patients were free of bleeding. The final follow-up was 12 weeks after the last sclerotherapy session.Results: After one foam sclerotherapy session, 82% of patients (41 out of 50) were treated successfully. After second sclerotherapy, 98% of the patients (46 out of 50) were treated successfully. 2% of the patients received third sclerotherapy.Conclusions: In the treatment of first and second grade haemorrhoidal disease, polidocanol 3% foam is very effective and safe. The results of this study show that foam sclerotherapy is a new, innovative, effective and safe non-surgical treatment option for haemorrhoidal disease.

Step‐by‐step open excisional haemorrhoidectomy for grade IV circular haemorrhoidal disease – a video vignette

2020 ◽  
Vol 22 (10) ◽  
pp. 1452-1453
Author(s):  
S. K. Efetov ◽  
Y. S. Medkova ◽  
Y. E. Kitsenko ◽  
K. Ong ◽  
I. A. Tulina ◽  
...  
Keyword(s):  
Haemorrhoidal Disease ◽  
Video Vignette

Short‐ and long‐term outcomes of laser haemorrhoidoplasty for grade II – III haemorrhoidal disease

2019 ◽  
Vol 21 (6) ◽  
pp. 689-696 ◽  
Author(s):  
S. Faes ◽  
M. Pratsinis ◽  
S. Hasler‐Gehrer ◽  
A. Keerl ◽  
A. Nocito
Keyword(s):  
Long Term Outcomes ◽  
Haemorrhoidal Disease ◽  
Grade Ii ◽  
Short And Long Term
Sign in / Sign up

Export Citation Format

Share Document